J.C.C. v. Echelon General Insurance Company (17-000848)

The claimant was found entitled to attendant care benefits from a medical standpoint, but was denied payment on the basis that his service provider was not a professional. The service provider had her certification as a PSW, but was not working in the field at the time of the claimant’s accident. Adjudicator Go held that the service provider qualified as a professional, noting that there was no requirement that a professional be working in the field at the time of the accident, or that the professional be working exclusively in the field. She also noted that the service provider continued to work as a PSW with other patients after treating the claimant, which supported the conclusion that the service provider was acting in the course of her employment or occupation.